Individual provider Active NPI

Richard Emil Chura, D.C.

  • Chiropractor
  • Alpena, MI
National Provider Identifier
1306904115
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004958 Issued in MI
Practice address
2477 US Highway 23 S Ste C
Alpena, MI 49707-4610
Phone
(989) 356-4126
Fax
(989) 354-8715
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004958 MI Primary

Addresses

Primary practice location

2477 US Highway 23 S Ste C
Alpena, MI 49707-4610

Mailing address

145 N State Ave
Alpena, MI 49707-2835
Phone (989) 356-4126

Other identifiers 3

IdentifierTypeStateIssuer
2301005008OtherMISTATE LICENSE NUMBER
950Z45008OtherMIBCBSM ID NUMBER
RC004958OtherMIBCBSM LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001047 MI Practitioner - Chiropractic 4284827049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2477 US Hwy 23 S
Suite C
Alpena, MI 49707-4610
Phone (989) 356-4126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004958MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Bay Chiropractic Center PC Chiropractor CurrentSince Oct 1, 1999 Accepting new patients

Locations

2477 US Highway 23 S
Ste C
Alpena, MI 49707
Phone (989) 356-4126

2568 US Highway 23 S
Alpena, MI 49707
Phone (989) 356-4126

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1306904115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N STATE AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072835",
            "telephone_number": "989-356-4126",
            "fax_number": "989-354-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 US HIGHWAY 23 S STE C",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074610",
            "telephone_number": "989-356-4126",
            "fax_number": "989-354-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURA",
        "first_name": "RICHARD",
        "middle_name": "EMIL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2301005008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ID NUMBER",
            "identifier": "950Z45008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM LICENSE NUMBER",
            "identifier": "RC004958",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.